43892 CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. -Z/-.... Lot No� ....-_.. 2 Q
Date. /��e-........................-------.., 19.(--.� pPermit No.. J 2Z-------v
� of
Application is hereby made for a permit td!'../._'.........._-_....._---------------------------------
a-----/----.story, Type ..---.. .. ..... .. ...... ...--- - ----...........-. Build
ingpp
Use Zone ..R.11._.---
Occupancy -----------------
to be occupied only as Z_ -/i i wC/ arking Space -- r�.. ......
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, '/2/ 000 °=
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shell not employ any per-
son in any manner za as t violate the workmen' compensation lows of California
"
own r �G� ---_ d.4 __
----/_t-!c�. - Address/- ..-- — - --
Con}r c
BYA99 7I ' -------........-Address — - ''
CCaG� ( `
Form 280-I
RECORD OF INSPECTION
Foundatioh ------ Frame ...
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Stucco ........... . ----------------------------------------- Finish/_a..'73